LIFESTYLE MEDICAL DISTRIBUTORS LLC NPI 1053076653

NPI Information

NPI: 1053076653
Provider Name: LIFESTYLE MEDICAL DISTRIBUTORS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1484 N MAIN ST
LOGAN, UT
ZIP 84341
Phone: (435) 265-0380
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LIFESTYLE MEDICAL DISTRIBUTORS LLC is a durable medical equipment medical supplies in Logan, UT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. LIFESTYLE MEDICAL DISTRIBUTORS LLC NPI is 1053076653. The provider is registered as an organization entity type.

The provider's business location address is:

1484 N MAIN ST
LOGAN, UT
ZIP 84341-224
Phone: (435) 265-0380

The provider's authorized official is Zachary Christensen .
The authorized official title is Owner/general Manager and has the following contact phone number (435) 452-2683.

The enumeration date for this NPI number is 11/8/2021 and was last updated on 1/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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